Winter Break Chess Camp. Wednesday - Friday, December 26th - 28th, 2018. For K-12 Students
HOPKINS PAVILION
11000 Excelsior Blvd, Hopkins, MN 55343
952-212-7999
igorchess@gmail.com
Twin Cities Chess Club is offering Winter Break Chess Camp at the Hopkins Pavilion. It will be taught by Igor Rybakov, the USCF-rated tournament chess player who prepared 3 US Chess Champions and was named the Best Chess Coach of Minnesota in 2010, Chess Master Tim Lee who is the chess coach of many US champions and finalists, Master Pat Lavone, whose teams achieved highest results in US finals.

Please make checks payable to the "Twin Cities Chess Club" and mail to ($10 late fee after Dec. 25th):

Twin Cities Chess Club
1502 5th St. N., #204, Hopkins, MN 55305

PLEASE FILL OUT A SEPARATE FORM FOR EACH PARTICIPANT. FILL IN FORM COMPLETELY.
Student's Name_________________________________Grade________ Age__________
Parent(s)' Name____________________________________________________________
Daytime Phone: _____________________ Emergency Phone: _____________________
Address: _________________________________________________________________
City: _________________________________________ State: _____ Zip: ___________
Email address: ____________________________________________________________
Signature acknowledges acceptance of waiver and is required for participation.
*PARENT/GUARDIAN AGREEMENT: I, the parent/guardian of the registrant, a minor, agree that the registrant and I will abide by the rules of the Hopkins Pavilion. I hereby release, absolve and hold harmless the City of Hopkins, the Hopkins Pavilion and Twin Cities Chess Club, it’s employees, and agents from any damage resulting from injury incurred by me or my child while participating in the above mentioned programs. I understand the Hopkins Pavilion and its affiliates assume no responsibility before, during or after the program.
Parent Signature: _______________________________________________________